OBJECTIVE: To develop and investigate the internal consistency, criterion-related validation, and minimum clinically significant difference of a new standing balance outcome measure for Elder Rehabilitation. DESIGN: Three phases: (1) cross-sectional survey with expert panel, (2) multicenter prospective cohort randomly divided into development and validation datasets, and (3) prospective cohort (single site). SETTING:Geriatric and rehabilitation units across 2 states in Australia. PARTICIPANTS: A total of 1769 admissions across 17 geriatric assessment and rehabilitation units. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The Balance Outcome Measure for Elder Rehabilitation (BOOMER) consisted of the step test, Timed Up & Go test, Functional Reach Test, and static standing with feet together and eyes closed test. Criterion-related validity was established through comparison to the Modified Elderly Mobility Scale (MEMS) and the FIM motor score. RESULTS: Items of the BOOMER were already used at a majority of rehabilitation facilities surveyed. The BOOMER showed high levels of internal consistency (Cronbach alpha>.87) and had good correlation with the FIM motor and the MEMS (rho>.72). The minimum clinically significant change in the BOOMER was 3 points over a 17-point scale range. CONCLUSIONS: The BOOMER is a clinically applicable measure of standing balance among older rehabilitation patients with evidence of content and construct validity.
RCT Entities:
OBJECTIVE: To develop and investigate the internal consistency, criterion-related validation, and minimum clinically significant difference of a new standing balance outcome measure for Elder Rehabilitation. DESIGN: Three phases: (1) cross-sectional survey with expert panel, (2) multicenter prospective cohort randomly divided into development and validation datasets, and (3) prospective cohort (single site). SETTING: Geriatric and rehabilitation units across 2 states in Australia. PARTICIPANTS: A total of 1769 admissions across 17 geriatric assessment and rehabilitation units. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The Balance Outcome Measure for Elder Rehabilitation (BOOMER) consisted of the step test, Timed Up & Go test, Functional Reach Test, and static standing with feet together and eyes closed test. Criterion-related validity was established through comparison to the Modified Elderly Mobility Scale (MEMS) and the FIM motor score. RESULTS: Items of the BOOMER were already used at a majority of rehabilitation facilities surveyed. The BOOMER showed high levels of internal consistency (Cronbach alpha>.87) and had good correlation with the FIM motor and the MEMS (rho>.72). The minimum clinically significant change in the BOOMER was 3 points over a 17-point scale range. CONCLUSIONS: The BOOMER is a clinically applicable measure of standing balance among older rehabilitation patients with evidence of content and construct validity.
Authors: Lora M Giangregorio; Lehana Thabane; Jonathan D Adachi; Maureen C Ashe; Robert R Bleakney; E Anne Braun; Angela M Cheung; Lisa-Ann Fraser; Jenna C Gibbs; Keith D Hill; Anthony B Hodsman; David L Kendler; Nicole Mittmann; Sadhana Prasad; Samuel C Scherer; John D Wark; Alexandra Papaioannou Journal: Phys Ther Date: 2014-05-01
Authors: Jenna C Gibbs; Caitlin McArthur; John D Wark; Lehana Thabane; Samuel C Scherer; Sadhana Prasad; Alexandra Papaioannou; Nicole Mittmann; Judi Laprade; Sandra Kim; Aliya Khan; David L Kendler; Keith D Hill; Angela M Cheung; Robert Bleakney; Maureen C Ashe; Jonathan D Adachi; Lora M Giangregorio Journal: Phys Ther Date: 2020-04-17
Authors: Jenna C Gibbs; Caitlin McArthur; James Milligan; Lindy Clemson; Linda Lee; Veronique M Boscart; George Heckman; Carlos Rojas-Fernandez; Paul Stolee; Lora M Giangregorio Journal: Pilot Feasibility Stud Date: 2015-05-31
Authors: D Scott; T Trbojevic; E Skinner; R A Clark; P Levinger; T P Haines; K M Sanders; P R Ebeling Journal: J Musculoskelet Neuronal Interact Date: 2015-12 Impact factor: 2.041